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Too often, gun rights advocates point to the flaws of the mental health system as the cause of mass gun violence. Consider President Trump's response to the February 14 massacre at Marjory Stoneman Douglas High School. He said that psychiatric hospitals should be reopened to prevent more carnage. You know in the old days we had mental institutions, had a lot of them, and you could nab somebody like this.\"2 Trump was referring to the closure of psychiatric hospitals during deinstitutionalization-the result of ideological, economic, and political factors-which began in the 1960s, peaked in the 1970s and 1980s, and continues today.Is deinstitutionalization to blame for the regularity of mass shootings in America? Deinstitutionalization occurred not only here but also across other highincome democracies. Major international organizations, such as the World Health Organization, have supported the reduction of hospital psychiatry.3 Comparing cross-national data of mass shootings-typically defined as four or more fatalities-with the decline of inpatient psychiatric capacity offers little evidence to support this association.

Los estudiantes de Texas comenzaron hoy el nuevo curso con el trágico recuerdo de la masacre en la escuela secundaria de Santa Fe, en el área de Houston, donde se han incrementado las medidas de seguridad y los alumnos dicen acudir \"con nervios pero sin miedo\".